Utilization Management Manager

Job Summary

A company is looking for a Utilization Management Manager to oversee the authorization process and ensure timely patient care access.

Key Responsibilities

• Manage front-end prior authorizations and in-house concurrent review authorizations
• Coordinate with clinical staff and managed care organizations to facilitate patient admissions and authorization processes
• Document and track authorization information while initiating appeals for denied requests

Required Qualifications

• Postsecondary non-Degree (Cert/Diploma/Program Grad) from an accredited school of nursing required
• Associate's Degree in healthcare or related field required; Bachelor's Degree preferred
• 3+ years of experience in healthcare strongly preferred
• Experience in managed care, case management, or utilization review is a plus
• Healthcare professional licensure preferred; equivalent experience may be considered